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It\u00b4s a randomized controlled prospective study\u00a0carried out in the Department of Obstetrics and Gynecology Ram\u00f3n y Cajal University Hospital and HM Montepr\u00edncipe-Sanchinarro University Hospital, Madrid, Spain,\u00a0in women with fibroid uterus undergoing laparoscopic myomectomy. Eighty women diagnosed with symptomatic fibroid uterus were randomly assigned to undergo laparoscopic myomectomy without additional intervention (Group A) or temporary clamping of bilateral uterine and utero-ovarian arteries prior to laparoscopic myomectomy (Group B). Estimated blood loss, operating time, length of hospital stay, and postoperative hemoglobin values were compared in both groups. The number of fibroids removed was similar in both groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.77). Estimated blood loss was lower in the group of patients with prior occlusion of uterine arteries (<jats:italic>p<\/jats:italic>\u2009=\u20090.025) without increasing operating time (<jats:italic>p<\/jats:italic>\u2009=\u20090.17) nor length of stay (<jats:italic>p<\/jats:italic>\u2009=\u20090.17). No patient had either intra or postoperative complications. Only two patients (2.5%) required blood transfusion after surgery. We conclude that temporary\u00a0clamping of bilateral uterine arteries prior to laparoscopic myomectomy is a safe intervention that reduces blood loss without increasing operative time.<\/jats:p>","DOI":"10.1038\/s41598-024-57720-9","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T16:02:31Z","timestamp":1711382551000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy"],"prefix":"10.1038","volume":"14","author":[{"given":"Enrique","family":"Moratalla-Bartolom\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"L\u00e1zaro-de-la-Fuente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"L\u00f3pez-Carrasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Cabezas-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Carugno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Sancho-Sauco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3532-5265","authenticated-orcid":false,"given":"Irene","family":"Pelayo-Delgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"issue":"1","key":"57720_CR1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1002\/ijgo.13102","volume":"149","author":"E Giuliani","year":"2020","unstructured":"Giuliani, E., As-Sanie, S. & Marsh, E. 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